Inspection on 14/03/08 for Blatchington Court

This inspection was carried out on 14th March 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Blatchington Court 02/03/09

Blatchington Court 14/02/07

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Blatchington Court 13 St Peters Road Seaford East Sussex BN25 2HS Lead Inspector Debbie Calveley Unannounced Inspection 14th March 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blatchington Court Address 13 St Peters Road Seaford East Sussex BN25 2HS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01323 896939 01323 873883 Mrs Phyllis Sammars Leanne Sammars Care Home 20 Category(ies) of Dementia - over 65 years of age (20) registration, with number of places Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twenty (20) Services users must be older people aged sixty-five (65) years or over on admission Service users with a dementia type illness only to be accommodated Date of last inspection 14th February 2007 Brief Description of the Service: Blatchington Court is a residential home in Seaford and is registered to provide personal support and care for up to 20 people with a dementia type illness. there are currently three double and twelve single rooms. The home is situated in a quiet area, approximately three quarters of a mile from the seafront. There are attractive gardens to the rear that are accessible and used by residents when weather permits, and there is small parking area to the side of the building. The premises provides twelve single bedrooms and three double rooms, communal areas consist of two lounges on the ground floor, one is used as a dining area and for quieter activities. The other lounge is larger and residents are able to watch the TV if they wish. There is sufficient space for religious and social activities. There is no lift in the home and residents are only admitted if they can access the first floor using the stairs with the assistance of staff. The Fees charged as from 1 April 2008 range were under review. Additional charges are made for hairdressing, chiropody, and newspapers and outside activities. Intermediate care is not provided. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 6.5 hours on the 14 March 2008. There were nineteen residents living in the home on the day, of which five were case tracked and spoken with. During the tour of the premises six other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirement of the last inspection had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Four members of care staff and the cook were spoken with in addition to discussion with the provider and deputy manager. Contact was made with visiting professionals following the visit and two relatives were spoken with during the inspection visit. The information received verbally and from surveys has been incorporated into this report. The inspector would like to thank the residents and staff for their welcome and hospitality. What the service does well: There is a comprehensive Statement of Purpose and Service Users Guide that gives prospective residents the information required to enable them to make an informed choice about where they live. It was confirmed that the all prospective residents are visited by a member of staff prior to admission to the home. The admission process was seen to be thorough. The atmosphere at the home was relaxed, with communication between staff, residents and visitors being positive open and friendly. All parts of the home were clean, comfortable and well maintained. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 6 All relatives, visitors and visiting professionals contacted as part of the inspection process confirmed a satisfaction with the home and its services one resident saying ‘I am very well cared for the staff are nice it’s a lovely home and has good food’ The menus evidence a well thought out balanced diet with a varied choice of food in line with resident’s preferences. There is a robust recruitment process and training programme that protects the residents and promotes their well being. Activities are an important part of life in the home and photographs are displayed throughout the home of the residents enjoying different activities. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Blatchington Court provides prospective residents and relatives with a good level of information about the home, its facilities, services and the costs involved. The admission procedures allow for the needs of prospective residents to be assessed by a competent person before admission to ensure their needs can be met by the home, although people are not assured in writing that their needs will be met. EVIDENCE: There is a range of well-documented information about the home and the services it provides. The home has a comprehensive Statement of Purpose and a Service Users Guide and copies of these are available along with the last inspection report and a copy of the homes terms and conditions of residency Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 9 on request. It would however benefit the residents if the Service Users Guide was written in a more user-friendly format with pictures of the home and it also needs to include a clear complaint procedure. The registration certificate is clearly displayed and was found to be accurate. The last three admissions to the home were identified and the records relating to the admission procedures followed were reviewed. This confirmed that pre admission assessments are completed and provide a clear assessment of prospective residents care needs. These are completed by the manager or the provider and confirmed that these are used to ensure new admissions to the home are appropriate and that the home have the staff, equipment and environment to meet their care needs. Prospective residents’ are seen either in their home or hospital before admission and the input from relatives and other professionals is used whenever possible. Social care professionals spoken to following the inspection visit confirmed that pre admission assessments are always completed and that these were completed promptly and efficiently. It was however noted that the home does not confirm having regard to the assessment that the home can meet the assessed needs of the prospective resident. This was discussed with the manager who was advised that this should be completed in writing in accordance with the required documentation. Short- term respite care is offered and the pre admission procedures followed are the same as for a long-term admission. Intermediate or rehabilitative care is not provided at Blatchington Court. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents would benefit from a care planning system which gives clear guidance to staff in providing support and care in a consistent manner. The home was found to be meeting resident’s health and general needs with accessed additional specialist support when needed. Procedures and practices in the home allow for the safe administration of medicines and on the whole the privacy and dignity of residents to be promoted. EVIDENCE: The care plans viewed included a good level of pertinent information regarding the needs of the residents, however they do not give clear guidance for the staff to follow in meeting these identified needs. This was discussed in full and acknowledged by the manager, the care plan process will be reviewed in the near future. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 11 Risk assessments are in place and those risk assessments completed for nutritional screening, falls and skin viability need to be based on clear criteria and followed up within the care documentation. This was also discussed in full. Photographs of residents are taken for the care plans and a recommendation of good practice would be that they are dated and renewed regularly. It is evidenced from the documentation available that the resident’s medical needs were met in the home and that they have access to a General Practitioner, dentist, optician or chiropodist as required. The chiropodist was visiting the home on the day of the inspection. All feedback received from relatives and visiting professionals confirmed a satisfaction with the care provided and comments included ‘Every thing has been absolutely fine’ ‘ I feel they look after my relative well and choices are given around daily life’ ‘ one of the best homes I have been to’. Medication policies and procedures are in place and demonstrated regular review. Staff that administer medication have received training from the pharmacy that provides the medication and the certificates are displayed in the home. The records seen were found to be completed accurately and staff sample signatures are kept. The mid day medication round was observed and good practice was observed. The medication and medication administration charts are kept in a locked cupboard in the lounge area and this is where medication is dispensed to the residents. The cupboard of stock medication was well organised, but overstocked in some areas mostly in creams and apperiants. There are no controlled medications being used at this time. There are some residents that have their medication crushed and there was evidence of consultation with the families and the general practitioner, this needs to be extended to include the pharmacist as well. There is a small medication fridge kept in the locked cupboard, the staff need to ensure that they date liquid antibiotics on the day they are opened. Records of the fridge and room temperature are not kept and to ensure that the temperatures are kept correct for the medication stored, this needs to be introduced. There are no residents at this time that self medicate. Staff were seen to be kind and pleasant to residents and a good rapport was noted between them, the residents were treated with respect and their dignity was maintained at all times. All residents were dressed appropriately and were clean and tidy. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Social activities and meals continue to be creative and provide daily variation and interest for people living in the home. Residents are able to make a range of choices about their lives as well as maintaining links with friends and relatives. EVIDENCE: The homes’ care staff provides activities for their residents on a daily basis, these include reminiscence therapy, games, videos, art and craft work, hand and foot massages and manicures. Visiting musicians and monthly church service. The residents were observed making bonnets for an Easter hat competition with prizes. The site visit evidenced that the residents and staff interact positively, staff were seen throughout the day engaging residents in reading books, talking about their experiences and just sitting with them talking. Residents that were walking around the communal areas were discretely supervised and interacted Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 13 with as necessary. Residents are enabled to choose where they want to spend their time. The staff confirmed that visitors are welcome at any time and are regular relatives and friends that visit the home. There were no visitors at the time of the inspection to talk to, but there were two visiting professionals that were able to discuss the welcoming staff and the pleasant atmosphere. Surveys received were complimentary regarding the support and care the residents receive. Leading from the main lounge there is an attractive separate dining room where residents are served their meals from a serving window connected to the kitchen. The staff served the meals and were observed offering assistance discretely and all residents enjoyed the meals served. The head cook was cooking and the meal was well cooked and attractively served. The menu is rotated on a four week cycle and demonstrated a varied and nutritious diet. Whilst alternatives to the menu are not written on the menu, they are available, which was confirmed by the staff and chef. They have a good knowledge of individual residents particular likes and dislikes. A formal record of meals is not kept at this time but staff stated they do recognise poor appetites from the returns and act accordingly. Evidence was seen of fortified foods and food supplements for those who were losing weight. As discussed one residents care plan was misleading regarding her dietary needs, which could cause confusion to new staff. A formal record of resident’s food intake would identify appetite trends early and be beneficial to monitor residents. The cook confirmed that they are able to cater for cultural and medical diets. The surveys received commented that the food was ‘good’ ‘ good standard of food’ ‘good home cooking’. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a formal complaints system with evidence that visitors feel that their views are listened to and acted upon. Staff receive training to protect residents from abuse. EVIDENCE: The complaint policy and procedure is clear and uncomplicated and a copy of this is readily available in the home, but needs to be detailed more clearly in the Service Users Guide. A system of recording complaints was demonstrated to the inspector during her visit to the home. The home has not received any complaints since the last inspection. Relatives and residents spoken with confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. Health professionals contacted said that they would be able to approach the management team if they had any problems. The home have relevant guidelines on the protection of vulnerable adults and staff have received appropriate training. The management team has a clear understanding of adult protection guidelines and are aware of how to initiate an investigation if required. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Aaron Manor provides a comfortable, clean and safe environment for those living there and visiting. Residents and their families are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. EVIDENCE: A tour of the home confirmed that the home is generally well maintained and bedrooms are attractive with some being very personalised. There is an ongoing maintenance and decoration programme, and furniture is replaced as required. The communal areas consists of two lounges and a separate dining room, with residents rooms on the ground and first floor of the home. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 16 The communal areas are attractive with comfortable and homely furniture and allow for different uses ensuring residents have choice and how they spend their time. There are adequate communal bathrooms and shower rooms in the home, with specialist equipment to ensure all residents can have a bath or shower. A new shower and drier facility has been installed which has proved very beneficial for the residents. The home does not have a shaft lift, but has a stair lift to the first floor. The home ensure that the residents placed on the first floor have the ability to either use the stair lift safely or are mobile. The home has specialised equipment throughout the home to promote independence, including raised toilet seats. Call bells are provided in all areas, however some bedrooms did not have accessible leads and one double room only had one call bell port. This is an area that needs to be risk assessed and reflected in the residents individual care plan. Those residents that do not have the ability to use this facility need to have an alternative system of checking their safety and well being clearly documented in their care plan. Good practice in respect of infection control by staff was observed during the inspection visits and there were gloves and aprons freely available in the home. Sluice and laundry areas were found to be clean and safe. Resident’s clothes were seen to be clean and well cared for. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures are in place to protect residents, and staff training ensures they are aware of their roles and are able to provide the support and care the resident’s need. The staffing numbers and skill mix is appropriate to the assessed needs of residents. Training is provided for staff to ensure that the residents receive the care and support they need. EVIDENCE: The home has a stable staff team and some have worked at the home for several years. Comments made by health professionals and feedback from relatives complemented the staff on the support they provide, ‘difficult to find a better place’, ‘we chose the home for the atmosphere and kindness’, ‘staff are kind and positive’. From direct observation there were sufficient staff on duty to meet the needs of the residents living in the home. Extra staff come in at lunchtime to assist with meals. The staffing rota was seen and was seen to be correct on the day of the inspection. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 18 A selection of staff recruitment files were viewed and demonstrate that a robust recruitment process has been maintained to protect residents and contained all the relevant information required. There was evidence of health questionnaires, Criminal Record Bureau checks, two references, a resume of previous employment and work permits where necessary. All the paperwork is kept within a locked room. Staff are supported and enabled to complete the National Vocational Qualification (NVQ) training approximately 80 of staff has a NVQ qualification at this time. Induction training, in line with Skills for Care, is provided for all new staff. Those spoken with are using this training as an introduction to the NVQ Level 2 and are hoping to start this when they have completed the induction course. A training programme has been developed and includes the training that staff must undertake by law. This includes moving and handling, food hygiene, first aid, fire safety, medication and infection control. A record is kept of which courses each member of staff has attended so that any updates and refreshers can be identified and arranged. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management approach at Blatchington Court is open and encourages residents, relatives and staff to be actively involved in the lifestyle provided in the home. The health and safety of residents are promoted through an ongoing training programme for staff and up to date policies and procedures. EVIDENCE: The manager of Blatchington Court has worked in the home for seven years in total and the past two as registered manager and has experience in providing support and care for people with dementia. She has completed the NVQ Level Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 20 4 in Care and confirmed that she is working towards the Registered Managers Award and has two units left to complete. A quality assurance system has been developed. From discussion with the management team it was confirmed that quality assurance systems are in place and the results are audited. It was discussed that it would be beneficial to extend the quality assurance processes to visiting professionals who attend the home to give their views on the care provided and to publish the results to visitors and families. The manager confirmed that the home does not accept any responsibility for the resident’s finances; they are supported by relatives or solicitors. Residents are invoiced by the home for hair dressing and chiropody. Supervision was discussed and it was confirmed by the management team and care staff that supervision and team meetings do take place. Residents are safeguarded by the homes policies and procedures, which evidence regular review. Training required by legislation including moving and handling, fire training, first aid and infection control is provided for staff. Staff spoken with said they attend all the required training and the manager keeps a training matrix, which enables her to identify staff that need updates. The health and safety of residents are in the main promoted, however as previously mentioned all residents need to have access to a call bell or a system in place to check on residents safety and well being. There were also certain trip and fall hazards noted and these included rucks in the carpets that pose a risk to mobile residents and those that use walking frames. Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1) Requirement That registered person confirms in writing that having regard to the assessment made on any prospective service user that the home can meet those needs. That the registered person ensures that there is sufficient guidance in the individual care plans for staff to meet the service users identified needs. That the registered person ensures that suitable risk assessments are completed in all areas of risk and cover the use of equipment used to prevent falls from bed, and the risk of falls to promote resident safety. That appropriate risk assessments are in place with an action plan for those residents that do not have the capacity to ring the call bell. That the Registered Person ensures that service users who are being cared for in their bedroom or communal areas have a call bell in their reach or DS0000067636.V360687.R01.S.doc Timescale for action 10/07/08 2. OP7 15 10/07/08 3. OP8 12 (1)(a) 10/07/08 3. OP22 OP38 16 (2) (c) 10/07/08 Blatchington Court Version 5.2 Page 23 4. OP38 23(4)(a) (c)(i) if they are not able to summon help with this facility, an appropriate plan of action to ensure the service users safety and well being. That the Registered Person ensures that all carpets are assessed and free from rucks to prevent risk of trips. 10/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South East Region The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Blatchington Court DS0000067636.V360687.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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